Saa sɔhwɛ yi ho hia ma wo bere a worehwɛ akokoaa kwan no! - a efa Prenatal Glucose Screening ho

Hɛlo! Ɛbɛyɛ sɛ w’ani agye yiye na w’ani begye kakra sɛ wubehu abofra ketewaa a worehwɛ kwan nnansa yi no, ɛnte saa? Ɛtɔ mmere bi a, nhwehwɛmu ne sɔhwɛ ahorow a ɛsɛ sɛ woyɛ wɔ saa bere yi mu no betumi ayɛ adesoa kakra na ɛde nsɛmmisa pii aba w’adwene mu. Nanso wɔyɛ eyi nyinaa sɛnea ɛbɛyɛ a wo ne abofra ketewa a ɔwɔ wo yafunu mu no nyinaa akwahosan bɛkɔ so atra hɔ. Ɛnnɛ yɛrebɛka sɔhwɛ biako a ɛho hia yiye a ɛte saa ho asɛm. Eyi ne glucose nhwehwɛmu a wɔyɛ bere a wɔyem (Glucose Screening) . Ebia woate eyi ho asɛm pɛn, anaasɛ eyi betumi ayɛ biribi foforo. Nanso, ɛho hia paa sɛ yɛma eyi mu da hɔ.

Dɛn ne glucose nhwehwɛmu yi a wɔde hwehwɛ nyinsɛn mu?

Sɛ yɛbɛka no tiawa a, eyi yɛ sɛ wobɛhwɛ sɛ ebia woanya tebea bi a wɔfrɛ no nyinsɛn mu asikreyare anaa . Seesei woredwene sɛ, "Oh, mannya asikreyare da." Yiw, mpɛn pii no, saa tebea a wɔfrɛ no ``nyinsɛn mu asikreyare'' yi ba bere a wɔyem nkutoo. Ɛtaa kɔ bere a wɔawo akokoaa no akyi. Ɛno nti na wɔsan frɛ no "bere tiaa mu asikreyare."

Nanso, mprempren tebea yi reyɛ kɛse wɔ ɛnanom a wɔyem mu wɔ yɛn man yi mu ne wiase nyinaa nso. Sɛ yɛbɛka no tiawa a, ebetumi aka ɛnanom a wɔyem 6% kosi 7%. Ɛno nti na eyi ho hia yɛn titiriw no.

Wɔtaa yɛ nhwehwɛmu yi wɔ adapɛn 24 kosi 28 ntam wɔ wo nyinsɛn no akyi, a ɛyɛ bɛyɛ asram 6. Nanso, wɔ nnipa binom fam no, sɛ asiane kɛse wom sɛ wobenya saa tebea yi a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu yi ntɛm. Yɛbɛka saa asɛm no ho asɛm akyiri yi.

Dɛn nti na sɔhwɛ yi ho hia saa? So ɛyɛ ahyɛde?

Eyi ne asɛmmisa a nnipa pii wɔ. "Dɛn nti na sɔhwɛ yi ho hia saa?" Nea enti a ɛte saa ne sɛ, sɛ wɔanhu saa `(Gestational Diabetes)` tebea yi yiye na wɔansa a, ebetumi de akwahosan ho haw ahorow aba akokoaa a ɔwɔ awotwaa mu no so . Wo de susuw ho hwɛ, sɛ yɛka akokoaa no a yennim a, ɛbɛyɛ awerɛhow dɛn?

Wɔayɛ sɔhwɛ yi sɛnea ɛbɛyɛ a ɛbɛtew saa asiane no so. Sɛ wohu tebea no ntɛm a, wo duruyɛfo no betumi de afotu a wuhia ama wo, ebia sɛ ɛho hia a, ɛfa aduan, apɔw-mu-teɛteɛ, anaa nnuru mpo ho. Afei wo ne wo ba no nyinaa betumi anya apɔwmuden.

Enti kae sɛ eyi nyɛ sɔhwɛ ara kwa. Eyi yɛ wo ne wo ba a ɔsom bo no ahobammɔ nti.

Mprempren, wɔkamfo nhwehwɛmu yi kyerɛ ɛnanom pii a wɔyem wɔ Sri Lanka. Efisɛ sɛnea yɛadi kan aka no, ebetumi atew ɔhaw a ebetumi aba akokoaa no so no so. Enti, sɛ oduruyɛfo no ka kyerɛ wo sɛ yɛ nhwehwɛmu yi a, ɛbɛyɛ papa sɛ wobɛyɛ a worentwa so.

Ɔkwan bɛn so na wɔyɛ glucose nhwehwɛmu yi? So wubetumi akyerɛkyerɛ mu kakra?

Okay, afei momma yɛnhwɛ sɛnea wɔyɛ sɔhwɛ yi. Nneɛma atitiriw abien na ɛwɔ eyi mu. Ɛnyɛ obiara na ɛsɛ sɛ ɔkɔ anammɔn a ɛto so abien no so. Nea ebefi sɔhwɛ a edi kan no mu aba no na ɛbɛkyerɛ saa.

Anamɔn a Edi Kan: Glucose Screening Test

Eyi ne sɔhwɛ a edi kan a ɛkame ayɛ sɛ obiara yɛ. Nea ɛba ni:

1. Sɛ wokɔ ayaresabea anaa lab a, wɔma wo nsu bi a asikre pii apete mu . Ɛyɛ dɛ kakra. Ɛte sɛ glucose anonne, nanso ebia ɛbɛyɛ dɛ kakra.

2. Bere a woanom nsu a asikre wom yi akyi dɔnhwerew biako pɛpɛɛpɛ no, wobeyi mogya ketewaa bi afi wo nsateaa anaa ntini bi a ɛwɔ wo nsa mu no mu.

3. Afei wɔsɔ glucose (asikre) dodow a ɛwɔ mogya no mu hwɛ.

Mpɛn pii no, eyi yɛ sɔhwɛ a wɔyɛ no ntɛm. Nanso ade biako a ɛyɛ den kakra ne sɛ ɛsɛ sɛ wotwɛn saa dɔnhwerew no. Ɛyɛ papa sɛ wobɛkenkan nhoma anaa wubetie dwom bi wɔ saa bere no mu na woasiesie wo ho.

Afei, sɛ nhwehwɛmu a edi kan yi kyerɛ sɛ wo mogya mu glucose dodow dɔɔso sen sɛnea ɛte daa a, ɛnde oduruyɛfo no bɛka akyerɛ wo sɛ yɛ nhwehwɛmu a ɛto so abien. Nsuro saa, ɛno nko ara ne ɔkwan a wobɛfa so asi so dua sɛ wowɔ `(Gestational Diabetes)` anaasɛ wonni bi.

Anamɔn 2 (sɛ ɛho hia a): Glucose Tolerance Test (GTT) .

Wɔfrɛ eyi ``Glucose Tolerance Test'' anaa ``GTT''. Ebia eyi bɛyɛ te sɛ sɔhwɛ a ɛware kakra na ɛyɛ ahometew sen nea edi kan no. Nanso ɛho hia paa sɛ wubehu tebea no pɛpɛɛpɛ.

Sɛnea wobɛyɛ eyi ni:

1. Ɛsɛ sɛ wokɔ sɔhwɛ yi mu bere a wo yafunu da mpan . Wei kyerε sε, worentumi nni anaa wonom biribiara (gye nsuo) wɔ anadwo a atwam no anwummere aduane akyi kɔsi sɛ sɔhwɛ no bɛba awieeɛ. Mpɛn pii no, ɛsɛ sɛ wudi mmuada bɛyɛ nnɔnhwerew 8-10.

2. Sɛ wokɔ lab a, wobedi kan agye mogya de ahwɛ wo mmuadadi mogya mu glucose dodow.

3. Afei, wɔbɛma wo glucose aduru titiriw foforo a wobɛnom. Eyi nso yɛ dɛ.

4. Sɛ wonom eyi wie a, wobegye mogya afi wo nsam dɔnhwerew biara nnɔnhwerew abiɛsa . Ɛno kyerɛ sɛ obiako wɔ dɔnhwerew a edi kan no mu, foforo wɔ dɔnhwerew a ɛto so abien no mu, na nea etwa to wɔ dɔnhwerew a ɛto so abiɛsa no mu.

5. Wɔsɔ mogya yi nyinaa hwɛ sɛnea wo nipadua yɛ n’ade wɔ glucose dodow yi ho, kyerɛ sɛ, sɛnea ɛhyɛ asikre so.

Yiw, eyi yɛ ɔbrɛ kakra. Ɛsɛ sɛ wotra baabi biako bɛyɛ nnɔnhwerew abiɛsa, na wuntumi nnidi anaa nnom. Nanso, susuw ho hwɛ, eyi bɛma wo ba no anya ahobammɔ. Enti sɛ ɛsɛ sɛ woyɛ sɔhwɛ yi a, siesie wo ho yiye ma no na fa adwene a ɛyɛ mmerɛw kɔ. Ebia sɛ wode nhoma anaa nsɛmma nhoma ba a, worente nka sɛ bere no retwam.

Hena na ɛsɛ sɛ ɔma wɔyɛ sɔhwɛ yi ntɛm? Dɛn ne asiane akuw ahorow no?

Sɛnea yɛadi kan aka no, wɔtaa yɛ saa ``Glucose Screening'' yi wɔ nyinsɛn adapɛn 24 kosi 28 ntam. Nanso, nnipa binom wɔ asiane kɛse mu kakra sɛ wobenya ``Nyinsɛn mu Asikreyare.'' Wɔ nnipa a wɔte saa fam no, oduruyɛfo no betumi akamfo nhwehwɛmu yi akyerɛ wɔ nyinsɛn no mfiase, ebia wɔ aduruyɛ mu nhwehwɛmu a edi kan no mu.

Dɛn ne asiane ahorow yi?

• Sɛ woawo akokoaa a ne mu duru boro nkaribo 9 (kilogram 4.1) wɔ nyinsɛn bi a atwam mu a:Akokoaa kɛse a wobɛwo no kyerɛ sɛ ebia na woanya asikreyare wɔ nyinsɛn mu wɔ nyinsɛn bi a atwam mu a wunnim mpo.
• Sɛ obi a ɔwɔ abusua no mu (ɛna, agya, anuanom) wɔ asikreyare a: Esiane sɛ asikreyare fi awosu mu su bi wɔ hɔ nti, eyi nso yɛ asiane.
• Sɛ wotɔ kɛseyɛ mmoroso kuw no mu a egyina wo nipadua mu duru (BMI) so a: Nipadua mu srade a ɛkɔ soro no betumi aka insulin dwumadi.
• Sɛ woadi boro mfe 25 a: Asiane a ɛwɔ hɔ sɛ wubenya asikreyare wɔ nyinsɛn mu no kɔ soro kakra bere a wo nyin no.
• Sɛ wɔadi kan ahu asikre wɔ nsu mu nhwehwɛmu a wɔyɛ daa mu a: Eyi nso betumi ayɛ sɛnkyerɛnne foforo.
• Sɛ wowɔ mogya mmoroso (Hypertension): Ebia abusuabɔ bi da mogya mmoroso ne asikreyare ntam.
• Sɛ wowɔ tebea bi a wɔfrɛ no Polycystic Ovary Syndrome (PCOS): Nnipa a wɔwɔ PCOS no taa nya insulin a ɛko tia, na ebetumi ama wɔanya asikreyare wɔ nyinsɛn mu.

Sɛ wote nka sɛ wowɔ asiane ahorow yi mu biako anaa nea ɛboro saa a, wo ne wo duruyɛfo nka ho asɛm. Afei obetumi asi bere a eye ma wo sɛ wobɛyɛ sɔhwɛ yi ho gyinae. Nanso kae sɛ ɛnyɛ obiara a ɔwɔ saa nneɛma a ɛde asiane ba yi na obenya nyinsɛn mu asikreyare, na ɛnyɛ obiara a onni saa nneɛma yi mu biara na obenya bi. Ɛno nti na wɔtaa yɛ saa nhwehwɛmu yi ma obiara no.

Bere tenten ahe na egye ansa na woanya nea efi mu ba no? Ɔkwan bɛn so na oduruyɛfo no bɛbɔ me amanneɛ?

Mpɛn pii no, wobetumi ahu nea efi saa `(Glucose Screening)` yi mu ba wɔ bɛyɛ da koro anaa nnanu mu . Nea efi `(GTT)` mu ba nso gye bere dodow a ɛte saa ara.

Sɛ wo nya sɔhwɛ no a, bisa ayaresabea anaa lab no sɛnea wɔbɛbɔ wo amanneɛ wɔ nea ebefi mu aba no ho. Mmeaeɛ binom mfrɛ wo sɛ nea ɛfiri mu ba no yɛ nea ɛfata a, na sɛ ɛnyɛ ne kwan so nko ara na wɔfrɛ wo na wɔka kyerɛ wo sɛ san bra (sɛ nhwɛsoɔ no, sɛ wobɛyɛ ``GTT''). Mmeae bi frɛ wo ɔkwan biara so. Enti mma wo ho nnyɛ wo hu, twɛn kɛkɛ kosi sɛ wɔbɛka akyerɛ wo. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho yeraw wo kakra, nanso mma ehu nka wo a ɛho nhia.

Sɛ wowɔ nyinsɛn mu asikreyare a, dɛn na ɛba? So ɛyɛ biribi a ɛsɛ sɛ yesuro?

Fa no sɛ, woyɛɛ sɔhwɛ no, nea efii mu bae no san bae, na oduruyɛfo no kae sɛ wowɔ `(Gestational Diabetes)`. Ɛnde dɛn na woyɛ? Nea edi kan koraa no, mma wo ho nnpopo! Eyi nyɛ wiase awiei.

Sɛ wohu sɛ wowɔ Gestational Diabetes a, wo duruyɛfo ne aduannuru ho ɔbenfo bɛbom ayɛ nhyehyɛe a wɔde bedi dwuma a ɛfata wo. Eyi bɛtwe adwene asi:

• Aduan a wodi so: Tew nnuan a asikre ne starch wom so na hyɛ aduan a ahoɔdennuru pii wom a ahoɔden wom ho nkuran.
• Apɔw-mu-teɛteɛ: Wɔhyɛ wo nkuran sɛ yɛ apɔw-mu-teɛteɛ a ahobammɔ wom (te sɛ nantew) da biara.
• Asikre dodow a ɛwɔ mogya mu a wɔbɛhwɛ so:Ebia wɔbɛka akyerɛ wo sɛ fa afiri ketewaa bi (glucometer) di dwuma mfa nhwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie.
• Nnuru a wɔde ma sɛ ɛho hia a: Ebia nnipa binom rentumi mfa aduan ne apɔw-mu-teɛteɛ nkutoo nni asikre dodow a ɛwɔ wɔn mogya mu no so. Sɛ ɛte saa a, ebia wo duruyɛfo bɛkyerɛw nnuru a ahobammɔ wom (te sɛ metformin aduru anaa insulin a wɔde twitwiw wo mu).

Nea ɛho hia ne sɛ, sɛ wodi tebea yi ho dwuma yiye a, wo ne wo ba no nyinaa betumi anya apɔwmuden na ɔhaw biara nni ho. Wɔ nnipa dodow no ara fam no, tebea yi fi hɔ bere a wɔawo akokoaa no akyi.

Enti, ɛho hia sɛ wuhu eyi ntɛm na wodi ho dwuma yiye. Sɛ wudi oduruyɛfo no akwankyerɛ akyi yiye a, biribiara nni hɔ a enti ɛsɛ sɛ wusuro.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, seesei yɛaka nyinsɛn mu glucose nhwehwɛmu yi ho asɛm pii, ɛnte saa? Nea etwa to no, ma nsɛntitiriw yi ntra w’adwenem:

• Saa ``Glucose Screening'' yi yɛ sɔhwɛ a ɛho hia yiye ma wo ne wo ba a ɔhyɛ yafunu mu nyinaa akwahosan .
• Eyi yɛ sɔhwɛ a wɔtaa yɛ, a wɔyɛ no daa bere a wɔyem no.
• Mma sɔhwɛ no anaa nea ebefi mu aba no nhaw wo ho a ɛho nhia . Sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo.
• Sɛ wuhu asikreyare a ɛwɔ nyinsɛn mu ntɛm a, wubetumi adi ho dwuma yiye na woawo akokoaa a ɔwɔ apɔwmuden .
• Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛbɔ ho nkɔmmɔ . Ɔno ne onipa a obetumi de afotu a eye sen biara ama wo.

Yɛpɛ sɛ wunya nyinsɛn a ɛwɔ apɔwmuden, anigye ne akokoaa a ɔwɔ apɔwmuden!

` Nyinsɛn mu Glucose Sɔhwɛ, Nyinsɛn mu Asikreyare, Glucose Nhwehwɛmu, Nyinsɛn mu Nhwehwɛmu, Nyinsɛn mu Asikreyare, GTT, Ɛnanom a Wɔyem